| NPI | 1699977827 |
|---|---|
| Former Name | TONYA ANN THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME C4773) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 837) |
| 101YP2500X Counselor Professional (Licence: AZ 11966) | |
| 101YP2500X Counselor Professional (Licence: NC 3574) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2022-07-21 |