| NPI | 1699216036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC6593) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CCS7464) |
| 146N00000X Emergency Medical Technician, Basic (Licence: ME 31763) | |
| 163W00000X Registered Nurse (Licence: ME RN88104) | |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2024-12-23 |