| NPI | 1245569425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC6834) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC4538) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2011-09-21 |