| NPI | 1710466768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP1600X Counselor, Pastoral | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2022-10-14 |