NPI | 1225131873 |
---|---|
Former Name | DEBRA R THOMPSON-MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NM 6067) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM 1180) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2007-07-08 |