| NPI | 1407720873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG70058412) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG70058412) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-10-20 |