| NPI | 1962427617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1020201) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 0312AD) |
| 104100000X Social Worker (Licence: MA 1020201) | |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW02010) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-09-09 |