NPI | 1285767913 |
---|---|
Former Name | HEATHER SUE THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-4258) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ID LCPC-4258) |
101YM0800X Counselor, Mental Health (Licence: ID LCPC-4258) | |
101YP1600X Counselor, Pastoral (Licence: ID LCPC-4258) | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2020-05-07 |