| NPI | 1952673865 |
|---|---|
| Former Name | CHARLAINE MARIE ST. CHARLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 6511) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2023-11-13 |