| NPI | 1497148159 |
|---|---|
| Former Name | LAURA ANNE BEAUDOIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2095) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA LMHC9634) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH LCMHC2095) | |
| 101YM0800X Counselor, Mental Health (Licence: MA 9634) | |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2022-05-18 |