| NPI | 1538031398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG70154747) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC10061390) |
| 175T00000X Peer Specialist (Licence: WA PE70077645) | |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2026-07-13 |