| NPI | 1114585171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60972005) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG60972005) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2022-01-31 |