| NPI | 1154586626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 1032771) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MA 208) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |