| NPI | 1174234801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG61390351) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61390351) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2025-03-14 |