NPI | 1821564170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: ME MC20536) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC6237) | |
Enumeration Date | 2018-10-15 |
Last Update Date | 2022-12-07 |