| NPI | 1871217265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC8203) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC23647) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2025-01-06 |