| NPI | 1568908002 |
|---|---|
| Former Name | JACQUELINE NOELLE DE CORMIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 122139) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 222460) |
| 104100000X Social Worker (Licence: MA 1165096) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 122139) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-03-05 |