| NPI | 1639665649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 10726) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2025-07-23 |