| NPI | 1528731783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC22916) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC20219) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC7724) | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2024-08-28 |