| NPI | 1639247505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME ME254790) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME ME315226) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2024-07-15 |