NPI | 1497087944 |
---|---|
Former Name | PATRICIA MARY ALBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME LC11382) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC3748) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CCS4460) | |
Enumeration Date | 2010-02-09 |
Last Update Date | 2010-02-09 |