| NPI | 1851468383 |
|---|---|
| Former Name | TERRY LEE PERREAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 001640) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DE PC0000327) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-06-23 |