| NPI | 1306403720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124376) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 16040) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW19299) | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2022-01-27 |