| NPI | 1639598428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: OH 3629224) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 1957161) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-07-12 |