| NPI | 1134779275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC7343) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC6749) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CCS8552) | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2024-11-08 |