| NPI | 1558114207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CU6154137) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61054579) | |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |