| NPI | 1164283313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 171400000X Health & Wellness Coach | |
| 174H00000X Health Educator | |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2025-01-02 |