| NPI | 1316479017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: MI M719636) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TE1100X Psychologist Exercise & Sports | |
| 103TH0004X Psychologist Health | |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric | |
| 171400000X | |
| 174H00000X Health Educator | |
| 225700000X Massage Therapist | |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2021-08-11 |