| 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 |