| NPI | 1912637620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG61318957) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61318957) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-11-07 |