| NPI | 1346177763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG.70027770) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG.70027770) |
| Enumeration Date | 2026-05-07 |
| Last Update Date | 2026-05-08 |