| NPI | 1295203503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG60698745) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60698745) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2022-12-05 |