| NPI | 1720432024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60624450) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2019-01-28 |