| NPI | 1588116651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHPC-00068) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW0001422) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2021-03-31 |