NPI | 1902142631 |
---|---|
Former Name | HELENA JENNINA THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 289579) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 745) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2967A) | |
101YM0800X Counselor, Mental Health (Licence: SC 6741) | |
101YM0800X Counselor, Mental Health (Licence: NC 9695) | |
Enumeration Date | 2012-12-28 |
Last Update Date | 2021-07-05 |