| NPI | 1083240832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 17-CRM-202) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-08-20 |