| NPI | 1346075355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG61606021) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61606021) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2025-01-07 |