| NPI | 1710157946 |
|---|---|
| Former Name | MOLLY J. WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13796) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC4525) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2013-09-03 |