| NPI | 1376080606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124221) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 11058) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101Y00000X Counselor (Licence: NE 7125) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 222842) | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2023-02-09 |