NPI | 1124439500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV C10182) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2014-05-19 |
Last Update Date | 2025-08-21 |