| NPI | 1124400999 |
|---|---|
| Former Name | JULIANE THERIAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1220) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1150) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2024-01-09 |