| NPI | 1336398437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 216260) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2010-04-22 |