| NPI | 1609584663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101200000X Drama Therapist |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP1600X Counselor, Pastoral | |
| 106S00000X Behavior Technician | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 175F00000X Naturopath | |
| 175L00000X Homeopath | |
| 175T00000X Peer Specialist | |
| 176P00000X Funeral Director | |
| 225800000X Recreation Therapist | |
| 251S00000X | |
| 374K00000X | |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2025-02-11 |