| NPI | 1801563499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61287726) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG61287726) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2022-09-30 |