| NPI | 1770046070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-24510) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2026-02-09 |