| NPI | 1407582661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61410270) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2023-04-27 |