| NPI | 1487587911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CPST.PE.70118790) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CAAR.CG.70093325) |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-06-04 |