| NPI | 1457520496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13445) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CADC 4026) |
| 101YM0800X Counselor, Mental Health (Licence: ME MHRT-CSP) | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2021-10-27 |