| NPI | 1265954614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122852) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 1842AD) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2021-10-11 |