| NPI | 1023507209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61439834) |
| Additional Taxonomies | 101Y00000X Counselor |
| 175T00000X Peer Specialist (Licence: OR THW0001857) | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2023-10-16 |