| NPI | 1437795176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR 19-QMHA-I-02781) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 15-CRM-115) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2020-03-16 |