| NPI | 1518433226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60900109) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG60900109) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-12-13 |