| NPI | 1659877751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO SWC.0000002313) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-12-04 |