NPI | 1477795292 |
---|---|
Former Name | PATRICIA S. HERKLOTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC5701) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC1463) |
Enumeration Date | 2009-03-25 |
Last Update Date | 2021-01-20 |