NPI | 1760607220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ME CC1902) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME LC740) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2012-06-15 |