| NPI | 1467924183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60923556) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG60923556) |
| 101Y00000X Counselor (Licence: WA 60923556) | |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2025-10-10 |