| NPI | 1093103756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 28070) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA AC2234) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2024-05-20 |