NPI | 1881321099 |
---|---|
Former Name | LESLIE THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MO 2022013754) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 8095) |
Enumeration Date | 2022-08-07 |
Last Update Date | 2023-03-01 |