| NPI | 1710854393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 171M00000X Case Manager/Care Coordinator | |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |