| NPI | 1043772411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-R-3419) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW3372) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2023-03-16 |