| NPI | 1548812720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG60984606) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60984606) |
| 376K00000X Nurse's Aide | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2022-06-09 |