| NPI | 1972945459 |
|---|---|
| Former Name | JILL ANN THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 69365) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 69365) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2016-08-02 |