| NPI | 1134996333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 109388) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-CRM-2068) |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2025-04-30 |