| NPI | 1114643178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-11-15 |