NPI | 1407087505 |
---|---|
Former Name | JANE MARIE POOLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC4893) |
Enumeration Date | 2009-08-06 |
Last Update Date | 2016-11-07 |