| NPI | 1245453067 |
|---|---|
| Former Name | DEBRA DENISE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 061340-II) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2011-08-26 |