| NPI | 1669321022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA PE70096413) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG70090385) |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-07-13 |