| NPI | 1497416382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61526734) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2024-04-17 |