| NPI | 1548073950 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 1471146)  | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| 103TE1100X Psychologist, Exercise & Sports | |
| 103TH0004X Psychologist, Health | |
| 103TH0100X Psychologist, Health Service | |
| 104100000X Social Worker | |
| 163WC1500X Registered Nurse, Community Health (Licence: MN 1471146)  | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: MN 1471146)  | |
| 171400000X Health & Wellness Coach | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 376J00000X Homemaker | |
| Enumeration Date | 2025-01-29 | 
| Last Update Date | 2025-01-29 |