| NPI | 1053803106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: UT 12894556-3502) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2023-01-18 |