| NPI | 1275970741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 1275970741) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 1639231715) |
| 101Y00000X Counselor (Licence: OR 323PO0000X) | |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2020-06-26 |