NPI | 1346768561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 172V00000X Community Health Worker |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2017-09-08 |
Last Update Date | 2024-01-09 |