| NPI | 1407709090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 174400000X Specialist |
| 101YM0800X Counselor, Mental Health | |
| 2472E0500X Technician, Other, EEG | |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-04-15 |