| NPI | 1902105497 |
|---|---|
| Former Name | ANNA L GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4072) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC5248) |
| 101YP2500X Counselor, Professional (Licence: ME XL3770) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2022-09-14 |