| NPI | 1649989542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 171400000X Health & Wellness Coach (Licence: OK 6674) | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2024-06-18 |