| NPI | 1740476159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME LC4577) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME CAC3787) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2019-10-07 |