| NPI | 1386473601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO61663080) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG61495252) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2025-08-14 |