| NPI | 1750895728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 171M00000X Case Manager/Care Coordinator | |
| 222Q00000X Developmental Therapist | |
| 251S00000X Community/Behavioral Health | |
| 171400000X Health & Wellness Coach | |
| 101Y00000X Counselor | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2026-06-11 |