| NPI | 1578609368 |
|---|---|
| Former Name | SHAWNTA DYNISE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0008428) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S23628) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2009-11-23 |