| NPI | 1952596025 |
|---|---|
| Former Name | JIMMIE LORENZO THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSB94022230) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 00056469) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2015-12-28 |