| NPI | 1801583505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WA cg61368913) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2025-04-02 |