| NPI | 1063688364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist (Licence: PA 19183) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2025-06-23 |