NPI | 1912659467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCSW-LIC-57275) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-48621) |
1041C0700X Social Worker, Clinical (Licence: MT BBH-SWLC-LIC-43985) | |
1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-57275) | |
Enumeration Date | 2022-01-25 |
Last Update Date | 2023-03-29 |