| NPI | 1326567348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR 21-QMHA-R-1754) |
| 101YM0800X Counselor, Mental Health (Licence: OR 21-QMHA-R-1754) | |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2021-10-27 |