| NPI | 1306669726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 104100000X Social Worker (Licence: MI 6803089038) | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2026-06-02 |