| NPI | 1932422953 |
|---|---|
| Former Name | ANDREA KAY THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4796) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: WI 4796) | |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2024-11-18 |