| NPI | 1952473498 |
|---|---|
| Former Name | MARIANN ELIZABETH BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 0680000240 LCMHC) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VT 1000000018) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2014-10-20 |