| NPI | 1366915704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG60925012) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60925012) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2022-06-09 |