| NPI | 1326224841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 117027) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117027) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2012-08-02 |