NPI | 1003143900 |
---|---|
Former Name | TERAH R. AMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC14502) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC4155) |
Enumeration Date | 2009-11-13 |
Last Update Date | 2024-11-06 |