| NPI | 1972790830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-304) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-64333) |
| 106H00000X Marriage & Family Therapist (Licence: MT BBH-LMFT-LIC-38855) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2025-02-25 |