| NPI | 1770863979 |
|---|---|
| Former Name | CHRISONIA RENEICE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015868) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: IN 34010681A) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2023-10-03 |