| NPI | 1356407837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME CAC3226) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ME CC1581) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |