NPI | 1639492531 |
---|---|
Former Name | SACHEEN LAFORTEKA THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 16631) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 079337-1) |
Enumeration Date | 2010-03-05 |
Last Update Date | 2024-02-05 |