| NPI | 1083355697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB61297677) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2026-05-05 |