NPI | 1316306087 |
---|---|
Former Name | ANNA A THAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002884A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-02-23 |
Last Update Date | 2021-07-06 |