NPI | 1871082438 |
---|---|
Professional Name | KYLIAH LANEICE THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 29403) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 29403) |
101YM0800X Counselor, Mental Health (Licence: SC 17505) | |
1041C0700X Social Worker, Clinical (Licence: SC 17505) | |
106S00000X Behavior Technician | |
Enumeration Date | 2018-05-08 |
Last Update Date | 2025-02-24 |