| NPI | 1932580008 |
|---|---|
| Former Name | LORRI JEAN PAQUETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094454) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-02866) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |