| NPI | 1659085223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG61392030) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG61392030) |
| 101Y00000X Counselor (Licence: WA CG61392030) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CG61392030) | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |