| NPI | 1669522165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60171011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00053181) |
| 175T00000X Peer Specialist (Licence: WA CG60171011) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-12-09 |