| NPI | 1326259375 |
|---|---|
| Other Name | LISA FOURNIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CT 106H00000X) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 000959) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-04-17 |