| NPI | 1912488826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG60787387) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2024-07-10 |