NPI | 1861190191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-I-003872) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000109663) |
Enumeration Date | 2023-02-16 |
Last Update Date | 2025-01-24 |