| NPI | 1366518722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC4739) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CCS3478) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC1138) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-03-12 |