| NPI | 1184173981 |
|---|---|
| Former Name | JEAN ELYSE GAUTREAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW16874) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW16874) | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2024-02-14 |