| NPI | 1124598008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61605296) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2026-04-24 |