| NPI | 1326756511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101Y00000X Counselor |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2024-09-02 |