NPI | 1720524283 |
---|---|
Former Name | HANNAH ROSE MCCOMISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC17198) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME LC6367) |
Enumeration Date | 2017-01-09 |
Last Update Date | 2018-11-29 |