| NPI | 1740812619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 128680) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 19900) |
| 104100000X Social Worker (Licence: MA 225292) | |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2024-12-11 |