| NPI | 1245824523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHPC-001507) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 247200000X Technician, Other | |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2025-03-31 |