| NPI | 1316694979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CAAR.CG.70056581) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CDPT.CO.70031305) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2026-05-08 |