| NPI | 1609126036 |
|---|---|
| Former Name | ANN MARIE GAUTHIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 1-04780) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 104100000X Social Worker (Licence: MI 6802064466) | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2014-07-22 |