| NPI | 1265627343 |
|---|---|
| Former Name | ROSEMARY NELLE THOMASSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS LCAC317) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS LCMFT712) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2015-02-04 |