NPI | 1538556931 |
---|---|
Other Name | CASEY THOMAS |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007549) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39002591A) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2015-04-23 |
Last Update Date | 2025-01-23 |