| NPI | 1588486427 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171400000X Health & Wellness Coach | |
| 175T00000X Peer Specialist (Licence: OR 112998) | |
| 374K00000X Religious Nonmedical Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2025-08-02 |