NPI | 1225583859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: FL LPC0460030715) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2016-08-24 |
Last Update Date | 2025-09-08 |