| NPI | 1154830073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134405) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC6285) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC17651) | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2022-05-12 |