| NPI | 1083482236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA PE70094274) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG61493259) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2026-05-18 |