| NPI | 1376702282 |
|---|---|
| Former Name | JAMIE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27463) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 23984) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2017-02-24 |