| NPI | 1417194242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC1001) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC2362) |
| 101Y00000X Counselor (Licence: ME 00007506) | |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2017-01-05 |