| NPI | 1780207191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG70125365) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA PE70152561) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2026-07-13 |