| NPI | 1033973003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 374K00000X | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-02-09 |