| NPI | 1487494415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 171400000X Health & Wellness Coach | |
| 376K00000X Nurse's Aide (Licence: CT NA654033) | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-09-17 |