NPI | 1558339713 |
---|---|
Former Name | LUCINDA C THIMM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI LCSW2414123) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI LCSW2414123) |
106H00000X Marriage & Family Therapist (Licence: WI LCSW2414123) | |
Enumeration Date | 2006-03-14 |
Last Update Date | 2017-08-10 |