| NPI | 1487258828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61100902) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG61100902) | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2023-02-02 |