| NPI | 1417421017 |
|---|---|
| Former Name | CHRISTINE BROUSSARD DUSANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 7956) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2024-07-30 |