| NPI | 1740718501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19033) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2022-03-01 |