| NPI | 1225379563 |
|---|---|
| Former Name | JEANETTE AYOTTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009242) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70286) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2014-09-24 |