NPI | 1134474620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014262) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC014262) |
171400000X Health & Wellness Coach | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2012-07-20 |
Last Update Date | 2025-06-29 |