| NPI | 1770375081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 106S00000X Behavior Technician | |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |