| NPI | 1306002340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC4437) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC7081) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CCS5384) | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2026-05-26 |