Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 331 | MA |
NPI | 1003053844 |
---|---|
Provider Name | Alberta Sills |
First Address | Arlington, MA 02476 |
Second Address | Arlington, MA 02476 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2009 |
Last Update Date | 15/01/2009 |