| NPI | 1265624910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME 0990687) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME 318442) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |