| NPI | 1720259419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA 1720259419) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00052901) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2019-08-27 |