NPI | 1649717380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC5236) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC5228) |
101YP2500X Counselor, Professional (Licence: ME XL4798) | |
Enumeration Date | 2017-01-19 |
Last Update Date | 2024-12-05 |