| NPI | 1184141707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC5545) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC6275) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC6870) | |
| 101YM0800X Counselor, Mental Health (Licence: ME CC5545) | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2023-08-29 |