| NPI | 1366112682 |
|---|---|
| Former Name | CHAYLA A.M. DEWALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA 61225017) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61225017) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |