| NPI | 1265905368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61046812) |
| 101YM0800X Counselor, Mental Health (Licence: WA CAAR.CG.60602982) | |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2020-12-17 |