| NPI | 1497225320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG61365754) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60726787) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA PR70070619) | |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2026-03-05 |