| NPI | 1285596189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: AZ ICGCI1491) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LAAC-08047T) |
| Enumeration Date | 2025-11-29 |
| Last Update Date | 2025-11-29 |