| NPI | 1134713175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: TX 2020171136) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 2020171136) |
| 102X00000X Poetry Therapist (Licence: TX 2020171136) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2021-02-21 |