| NPI | 1649474156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13000) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC4201) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CCS8417) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-12-20 |