| NPI | 1508531708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 61332687) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61212651) |
| 175T00000X Peer Specialist | |
| 175T00000X Peer Specialist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2022-11-23 |