| NPI | 1881798239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 719) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 213360) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2025-09-11 |