| NPI | 1538517420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR THW000001573) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR 19-QMHA-I-00637) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2019-08-16 |