| NPI | 1942698535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG60166814) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2019-01-24 |