| NPI | 1316422660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60808242) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60808242) | |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2024-01-03 |