| 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 |