NPI | 1326639626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-GTYXLU) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-01-29 |
Last Update Date | 2024-11-06 |