| NPI | 1871882779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4117) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC4705) |
| 101YP2500X Counselor, Professional (Licence: ME XL3710) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2018-03-30 |