| NPI | 1629662739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-08-10850) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2024-10-21 |