NPI | 1598949067 |
---|---|
Former Name | VONETTA MONAE COLEMAN-THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008188) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017055) |
1041C0700X Social Worker, Clinical (Licence: DE Q10000909) | |
Enumeration Date | 2007-12-19 |
Last Update Date | 2024-07-17 |