| NPI | 1164294161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist (Licence: MPSS-GENYHC) | |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2025-06-02 |