| NPI | 1992103758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2016-03-01 |