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 | 2024-12-13 |