| NPI | 1669027611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000003780) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-23 |