NPI | 1528303054 |
---|---|
Former Name | HEATHER PAIGE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF84994) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2012-12-10 |
Last Update Date | 2016-03-30 |