| NPI | 1467713073 |
|---|---|
| Former Name | NICOLE LEIGH THORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 17204) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 078863-1) |
| 1041C0700X Social Worker, Clinical (Licence: NC C010147) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2024-08-22 |