| NPI | 1700432234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 297457) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2025-04-14 |