| NPI | 1861620502 |
|---|---|
| Former Name | CAROL JAMES COOKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4013) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC 3563) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2018-03-08 |