| NPI | 1235096611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA PR70086258) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG70091692) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2026-01-07 |
| Last Update Date | 2026-02-19 |