NPI | 1831142256 |
---|---|
Former Name | SHILAIN THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 79127) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 5299) |
101YM0800X Counselor, Mental Health (Licence: SC 5167) | |
101YP2500X Counselor, Professional (Licence: LA 6485) | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2024-01-03 |