| NPI | 1447641105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4955) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC5377) |
| 101YM0800X Counselor, Mental Health (Licence: ME XL4426) | |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2018-03-17 |