| NPI | 1588375323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140295) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 2055) |
| 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012159) | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2026-05-12 |