| NPI | 1568934420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG60735677) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60735677) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2022-07-22 |