| NPI | 1932635828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHA-I-01418) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000003718) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-09-10 |