| NPI | 1427362987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC2646) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL4613) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2016-01-08 |