| NPI | 1972371060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME LC8637) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: ME 35230) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |