| NPI | 1790596203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: DC DMH0E9D6) |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker (Licence: MD 942020) | |
| 171W00000X Contractor | |
| 174H00000X Health Educator | |
| 405300000X Prevention Professional (Licence: DC 766887) | |
| 171000000X Military Health Care Provider | |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-16 |