| NPI | 1215955307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC6879) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC1689) |
| 1041C0700X Social Worker, Clinical (Licence: ME CCS2869) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-10-03 |