| NPI | 1871180158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator (Licence: OR 22-QMHA-I-00347) | |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2024-04-30 |