| NPI | 1619133527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171400000X Health & Wellness Coach | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2025-09-19 |