NPI | 1124768593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR THW000108865) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: OR THW000108865) | |
Enumeration Date | 2022-03-31 |
Last Update Date | 2024-11-13 |