| NPI | 1407439508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61130107) |
| 106S00000X Behavior Technician (Licence: WA CB61431029) | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2023-06-08 |