| NPI | 1093017444 |
|---|---|
| Former Name | HEATHER N THACKSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1201521-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1000908) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1201521.SUPV) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2018-09-26 |