| NPI | 1942463435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME CAC8006) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LSX11054) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2025-08-18 |