NPI | 1104246867 |
---|---|
Other Name | EDNA LEA THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1609141) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 10228) |
Enumeration Date | 2014-04-22 |
Last Update Date | 2024-11-13 |