| NPI | 1639798325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2568) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1514) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0134092) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC22678) | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2024-06-05 |