| NPI | 1043882129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 291534) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2024-05-23 |