| 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 |