Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003139262 |
---|---|
Provider Name | Mrs. Kathy Difraia |
First Address | Amesbury, MA 01913 |
Second Address | Amesbury, MA 01913-2937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2010 |
Last Update Date | 09/06/2020 |