| NPI | 1447883327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME CAC6736) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME LC22347) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2023-12-19 |