NPI | 1598990814 |
---|---|
Former Name | JENNIFER LYONS THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75315) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2710) |
106H00000X Marriage & Family Therapist (Licence: LA 675) | |
Enumeration Date | 2009-05-17 |
Last Update Date | 2017-03-16 |