| NPI | 1740053990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171400000X Health & Wellness Coach | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2025-04-10 |