NPI | 1700021839 |
---|---|
Former Name | EMILY ANNE VAN STRIEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME XL4264) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC4077) |
104100000X Social Worker (Licence: ME LSX11430) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC4548) | |
Enumeration Date | 2008-12-03 |
Last Update Date | 2015-02-13 |