| NPI | 1801503149 |
|---|---|
| Former Name | LUCIE BOUCHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20323) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW20323) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2026-03-11 |