| NPI | 1790551950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WY A-051) |
| 133NN1002X Nutritionist Nutrition, Education | |
| 174H00000X Health Educator | |
| 225XM0800X Occupational Therapist Mental Health | |
| 251B00000X Case Management | |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |