| NPI | 1447390810 |
|---|---|
| Former Name | LEE CARLYLE THOMASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA CLSATP#0718000187) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0718000187) |
| 106H00000X Marriage & Family Therapist (Licence: DC LMFT000044) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2011-12-23 |