| NPI | 1619490059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 090817) |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2024-05-09 |