| NPI | 1093293920 |
|---|---|
| Former Name | CORINNE ELIZABETH THERIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA LICSW123637) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2024-12-02 |