| NPI | 1790916898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME LC1261) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME CCS3171) |
| 101YM0800X Counselor Mental Health (Licence: ME LC5073) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |