| NPI | 1902477433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK CMHC-561) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-07-13 |