| NPI | 1639781669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC7052) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC7668) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CCS8770) | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2024-06-25 |