| NPI | 1619840444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A23123) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NC 20251452501) |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2026-06-30 |