| 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 |