| NPI | 1578609715 |
|---|---|
| Former Name | MICHELLE DENISE LAVOIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 1398) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5688) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-12-07 |