NPI | 1679180889 |
---|---|
Former Name | LAURIE A BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: ME LC7124) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC7124) |
101YM0800X Counselor, Mental Health (Licence: FL 20966) | |
Enumeration Date | 2020-09-30 |
Last Update Date | 2022-10-04 |