| NPI | 1508197930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: A-3693222) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085265) |
| 1041C0700X Social Worker, Clinical (Licence: NY 097093) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2024-03-05 |