| NPI | 1043671910 |
|---|---|
| Former Name | BRYAN DUPRAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A18004) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2023-05-04 |