| NPI | 1649057472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW2141335) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: MA LCSW2141335) | |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2026-02-23 |