| NPI | 1225412612 |
|---|---|
| Former Name | TAMELA ANN SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC4874) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |