| NPI | 1871901710 |
|---|---|
| Former Name | BRELYSE L THORNTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1700565-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1700565) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2020-08-28 |