NPI | 1174123459 |
---|---|
Other Name | MANDY THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY200001579) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 810007018) |
Enumeration Date | 2020-10-27 |
Last Update Date | 2024-06-07 |