| NPI | 1699826818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC 3422) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC 7093) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-08 |