| NPI | 1700599420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA PLC9704) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA PLC9704) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2024-07-22 |