| NPI | 1215962584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC6213) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC2027) |
| 101YM0800X Counselor, Mental Health (Licence: ME LC6213) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2017-04-17 |