| NPI | 1922776681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CPST.PR.70156885) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101Y00000X Counselor (Licence: WA CAAR.CG.70178453) | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2026-09-28 |