| NPI | 1962194233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG61402096) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |