| NPI | 1952025819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO61510344) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-07-15 |