NPI | 1699597187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: NC 2023-8828-01) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
171400000X Health & Wellness Coach | |
171WH0202X Contractor, Home Modifications | |
172V00000X Community Health Worker | |
177F00000X Lodging | |
347C00000X Private Vehicle | |
Enumeration Date | 2024-10-28 |
Last Update Date | 2024-10-28 |