| NPI | 1093263154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC5402) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC6753) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC6170) | |
| 101YM0800X Counselor, Mental Health (Licence: ME XL4750) | |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2020-11-02 |