NPI | 1578848248 |
---|---|
Former Name | LORI NICHOL THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 67742) |
Enumeration Date | 2011-10-13 |
Last Update Date | 2011-10-13 |