| NPI | 1831568211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW0728) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2018-03-13 |