Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 114685 | |
N | 101Y00000X | Counselor | 114685 | MA |
N | 101YM0800X | Mental Health Counselor | 114685 | |
N | 101YP2500X | Professional Counselor | 114685 | |
N | 101YS0200X | School Counselor | 114685 | |
N | 101YS0200X | School Counselor | 114685 | MA |
N | 104100000X | Social Worker | 114685 | |
N | 1041C0700X | Clinical Social Worker | 114685 | |
Y | 1041C0700X | Clinical Social Worker | 114685 | MA |
N | 1041S0200X | School Social Worker | 114685 |
NPI | 1225192370 |
---|---|
Provider Name | Mrs. Hillary Cronin |
First Address | Florence, MA 01062-9628 |
Second Address | Northampton, MA 01060-3578 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 12/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S300106278 | MEDICARE (01) | MA |