| NPI | 1891662276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG70012259) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG70012259) |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |