| NPI | 1437297702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC2729) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL2968) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-08-25 |