| NPI | 1558129015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 101200000X |
| 101YP2500X Counselor Professional | |
| 102X00000X Poetry Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |