| NPI | 1336538719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A11387) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2025-06-08 |