| NPI | 1811052376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3582) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 517) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME waiting reciprosity) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 2194) | |
| 101YM0800X Counselor, Mental Health (Licence: MA 6579) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2019-05-15 |