| NPI | 1568119311 |
|---|---|
| Former Name | CARRIE MICHELLE THIBODEAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA PLC10824) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2026-02-17 |