NPI | 1053869859 |
---|---|
Former Name | DANIELLE RITA OUELLETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 46.003628) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 44.001447) |
221700000X Art Therapist (Licence: CT 20-390) | |
Enumeration Date | 2016-09-21 |
Last Update Date | 2025-02-06 |