| NPI | 1316839715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 172A00000X Driver | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-08-18 |