| NPI | 1467983130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R5804) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R5804) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2022-06-21 |