| NPI | 1891318408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC19976) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC7290) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC7033) | |
| 1041C0700X Social Worker, Clinical (Licence: ME MC17660) | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2022-08-29 |