| NPI | 1861190191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR THW000109663) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-I-003872) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-09-21 |