NPI | 1619119542 |
---|---|
Former Name | KAYE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60531078) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-03-24 |
Last Update Date | 2021-09-24 |