| NPI | 1750155677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate |
| 146L00000X Emergency Medical Technician, Paramedic | |
| 146N00000X Emergency Medical Technician, Basic | |
| 374K00000X | |
| 171M00000X Case Manager/Care Coordinator | |
| 225800000X Recreation Therapist | |
| 226000000X Recreational Therapist Assistant | |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-11-15 |