| NPI | 1396335873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2023-01-10 |