| NPI | 1649858176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC8936) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC7303) |
| 104100000X Social Worker (Licence: ME LS16371) | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-03-18 |