NPI | 1942486782 |
---|---|
Former Name | REGINA N BEAULAURIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH 60172396) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH60172396) |
Enumeration Date | 2008-01-10 |
Last Update Date | 2013-03-25 |