| NPI | 1619034956 |
|---|---|
| Former Name | MARGAUX RENE LAFORTUNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904006449) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0903001406) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-09-16 |