| NPI | 1629745021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CPSS.PR.70072043) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CAAR.CG.61234837) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2026-07-08 |