| NPI | 1689961518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MA 10620) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2023-08-25 |