| NPI | 1538295753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 877) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1019459) |
| 1041S0200X Social Worker, School (Licence: MA 370000) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |