| NPI | 1780228551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 174H00000X Health Educator |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |