| NPI | 1528576881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 13760) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 12669) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2022-01-13 |