NPI | 1063955722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171400000X Health & Wellness Coach |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
174400000X Specialist | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2016-11-29 |
Last Update Date | 2024-08-21 |