| NPI | 1144042771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: VA 0735001094) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0734010394) |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |