| NPI | 1558556134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME CAC4043) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LSX10118) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |