| NPI | 1225607229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG61193034) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61193034) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-03-16 |