| NPI | 1821693946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC13623) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: DC 0060) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2023-03-01 |