| NPI | 1548031784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: CA A-3632706) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 26422) | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2026-07-31 |