| NPI | 1710782578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 163WC0400X Registered Nurse, Case Management (Licence: AZ RN136295) | |
| 171400000X Health & Wellness Coach | |
| 251B00000X Case Management | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |