| NPI | 1710594585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 61109299) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 175T00000X Peer Specialist (Licence: WA 61109299) | |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2022-10-17 |