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 |