| NPI | 1538415724 |
|---|---|
| Former Name | THOMASINA ODOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6816) |
| 101YM0800X Counselor, Mental Health (Licence: GA 8418) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 13897) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2022-05-23 |