NPI | 1912983412 |
---|---|
Other Name | CYNTHIA ALLISON AUDETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002414A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000944A) |
101YM0800X Counselor, Mental Health (Licence: IN 39000925A) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 39000925A) | |
Enumeration Date | 2005-12-16 |
Last Update Date | 2009-04-29 |