| NPI | 1801914254 |
|---|---|
| Former Name | KATIE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 17623) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 24566) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2013-07-05 |