| NPI | 1497161434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: KY 299731) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UNLICENSED) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2025-06-10 |