NPI | 1942012117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 112534) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHA-R-7436) |
Enumeration Date | 2025-01-23 |
Last Update Date | 2025-08-26 |