| NPI | 1457523318 |
|---|---|
| Former Name | MONIQUE JEANNE TARDIF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003910) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009194) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2018-03-30 |