Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | C.1902032 | OH |
N | 101YS0200X | School Counselor | C.1800991-TR | OH |
NPI | 1215434394 |
---|---|
Provider Name | Miss Kayla M Thompson |
First Address | Amherst, OH 44001-3516 |
Second Address | Lorain, OH 44053-4153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2018 |
Last Update Date | 13/06/2019 |