| NPI | 1770121576 |
|---|---|
| Former Name | CARLYN VADNAIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180013978) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.015415) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2021-11-08 |