| NPI | 1275002727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60603578) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |