| NPI | 1457021933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 20660) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 000227240) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2024-01-03 |