| NPI | 1215484092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA cg60613696) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2023-08-15 |