| NPI | 1831560267 |
|---|---|
| Former Name | AUDREY THORNHILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 11875) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A11875) |
| 101YP2500X Counselor Professional (Licence: NC A11875) | |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2021-09-07 |