| NPI | 1023200854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC11704) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC10610) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC3386) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2024-12-02 |