NPI | 1487928685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4507) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC4980) |
Enumeration Date | 2012-03-06 |
Last Update Date | 2015-12-08 |