NPI | 1487031563 |
---|---|
Former Name | ERIN MCSHANE LACROIX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014613) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.010856) |
Enumeration Date | 2015-04-28 |
Last Update Date | 2021-09-14 |