| NPI | 1225558257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TN 5631) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-07-02 |