| NPI | 1730331505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 1730331505) |
| Additional Taxonomies | 101Y00000X Counselor |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2018-03-17 |