| NPI | 1497000525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NH 1005) |
| 106H00000X Marriage & Family Therapist (Licence: MA LMFT10000048) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 2118) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 20261) | |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2025-12-03 |