| NPI | 1356536239 |
|---|---|
| Former Name | SUELLEN R ALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC11189) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC4552) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2014-04-02 |