| NPI | 1033735881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 175T00000X Peer Specialist (Licence: 175T00000X) | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2022-05-09 |