| NPI | 1043952690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101YM0800X Counselor Mental Health (Licence: KS 04525) | |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2024-06-10 |