| NPI | 1861179814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW127770) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 227024) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 13523) | |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2024-05-03 |