| NPI | 1346122454 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 172V00000X Community Health Worker | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |