| 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 | 2025-09-11 |