| NPI | 1861704488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC11294) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC4524) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CCS4684) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2023-11-14 |