| NPI | 1265573604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME MC21333) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LADC # 3923) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2022-09-16 |