| NPI | 1831549211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC5332) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CCS5580) |
| 101YM0800X Counselor, Mental Health (Licence: ME MC14076) | |
| 1041C0700X Social Worker, Clinical (Licence: ME MC14076) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |