| NPI | 1245894583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC7008) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME MC17656) |
| 104100000X Social Worker (Licence: ME MC14656) | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2020-09-18 |