| NPI | 1508913203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC5202) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: ME LX2601) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2013-01-02 |