| NPI | 1588713655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME LC3715) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ME XL2975) |
| 104100000X Social Worker (Licence: ME LS6308) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |