| NPI | 1184074619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC5921) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |