| NPI | 1073387395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG61428176) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61521349) |
| 101YM0800X Counselor, Mental Health (Licence: WA CG61428176) | |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2024-02-22 |