| NPI | 1770229171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 007923) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 510356) |
| 101YP2500X Counselor, Professional (Licence: GA 007923) | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-12-09 |