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 |