| NPI | 1497237044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2024-06-07 |