| NPI | 1659122521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG61546054) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61546054) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-07-09 |