| NPI | 1821469438 | 
|---|---|
| Former Name | JASMIN SAMARA THOMAS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00768800) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 86337) | 
| 101YP2500X Counselor, Professional (Licence: TX 86337) | |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00768800) | |
| Enumeration Date | 2015-10-08 | 
| Last Update Date | 2025-08-14 |