NPI | 1134592231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG60441463) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60441463) |
Enumeration Date | 2015-11-11 |
Last Update Date | 2019-08-20 |