| NPI | 1053284786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 208D00000X General Practice (Licence: WA RN61621250) | |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |