| NPI | 1427776210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC23814) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 228110) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC8564) | |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2024-12-12 |