| NPI | 1366826042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW0180) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-10-16 |