| NPI | 1326376393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13442) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC12337) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC4891) | |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2014-07-09 |