| NPI | 1164791034 |
|---|---|
| Former Name | VALERIE M BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME LC5227) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2018-03-06 |