| NPI | 1851303432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME CAC2881) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ME CC2048) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |