| NPI | 1760850564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC18147) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC6252) |
| 1041C0700X Social Worker, Clinical (Licence: ME MC15429) | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2021-02-05 |