| NPI | 1104610120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant |
| 146N00000X Emergency Medical Technician, Basic | |
| 171M00000X Case Manager/Care Coordinator | |
| 225800000X Recreation Therapist | |
| 226000000X Recreational Therapist Assistant | |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |