| NPI | 1336688431 |
|---|---|
| Former Name | LIA CORYN LAVASSAUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17273) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 003719-2014) |
| 101YP2500X Counselor, Professional (Licence: PA PC009337) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2025-04-08 |