| NPI | 1023200854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC11704) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME CAC3386) |
| 104100000X Social Worker (Licence: ME MC10610) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2013-07-08 |