| NPI | 1740908326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 5005077) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NC 2081-2303-01) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-10-21 |