| NPI | 1174143143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| 106S00000X Behavior Technician | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2025-03-15 |