| NPI | 1154096493 |
|---|---|
| Former Name | TATUM M ROBERGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2024-11-12 |