| NPI | 1881462547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR THW108597) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR 24-QMHA-R-5336) |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2024-05-16 |