| NPI | 1891467957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101Y00000X Counselor | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2026-01-12 |