| NPI | 1235857913 |
|---|---|
| Former Name | LARISSA LAVALLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22849) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-17098) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2026-03-23 |