| NPI | 1316442940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC20114) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC6782) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CAC5848) | |
| 104100000X Social Worker (Licence: LM16932) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-03-28 |