| NPI | 1073740312 | 
|---|---|
| Other Name | "MINDY" LEMARQUE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9791)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT1041)  | 
| Enumeration Date | 2009-06-14 | 
| Last Update Date | 2009-06-15 |