| NPI | 1609769421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME AD9046) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 102X00000X Poetry Therapist | |
| 106S00000X Behavior Technician | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |