| NPI | 1912027558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC 1492) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: ME LC 1492) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-08-02 |