| NPI | 1316650104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA 61391932) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 61391932) |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2023-10-17 |