| NPI | 1609184654 |
|---|---|
| Former Name | RANDI-ANNE SHEEHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC12473) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC4635) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2020-02-03 |