NPI | 1043500929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC23105) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC5088) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC4728) | |
Enumeration Date | 2011-04-13 |
Last Update Date | 2025-09-09 |