| NPI | 1437464781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13728) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC6210) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CCS7631) | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2022-01-14 |