NPI | 1235204348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LC3437) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ME CCS3670) |
1041C0700X Social Worker, Clinical (Licence: ME LC8123) | |
Enumeration Date | 2006-11-22 |
Last Update Date | 2021-12-10 |