| NPI | 1649720319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MT BBH-LMFT-LIC-43165) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60088110) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-14337) | |
| 101YP2500X Counselor, Professional (Licence: MT BBH-PCLC--LIC-33007) | |
| 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-42830) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2023-11-10 |