| NPI | 1316204803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8082) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC6852) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 19-R-12) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC15259) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2019-05-08 |