| NPI | 1023820966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-08-08 |