| NPI | 1922727817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61360549) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG61360549) |
| 175T00000X Peer Specialist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-01-09 |