NPI | 1720213903 |
---|---|
Former Name | LESLEY MEGAN THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5456) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 0000006703) |
Enumeration Date | 2009-05-18 |
Last Update Date | 2012-04-09 |