| NPI | 1255615308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118975) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC15482) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 118975) | |
| 102L00000X Psychoanalyst (Licence: ME LC15482) | |
| 102L00000X Psychoanalyst (Licence: MA 118975) | |
| 104100000X Social Worker (Licence: ME LC15482) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC15482) | |
| 1041C0700X Social Worker, Clinical (Licence: ME 118975) | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2020-11-22 |