| NPI | 1043952690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 04525) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2023-11-27 |