| NPI | 1255049839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 225400000X Rehabilitation Practitioner | |
| 372600000X Adult Companion | |
| 101Y00000X Counselor | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2025-08-29 |