| NPI | 1770130700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG60997175) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG60997175) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2023-07-24 |