| NPI | 1720286982 |
|---|---|
| Former Name | NICOLE M BISAILLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 068.0087757) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005155-1) |
| 101YM0800X Counselor, Mental Health (Licence: VT 068.0087757) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2023-11-16 |