| NPI | 1013626241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 0431) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NH 0431) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2025-03-24 |