| NPI | 1548313042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 248) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 1757) |
| 104100000X Social Worker (Licence: MA 310240) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2014-04-28 |