| NPI | 1427688126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011325) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2023-12-04 |