| NPI | 1942866835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG60964652) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60964652) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-21 |