| NPI | 1790663201 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-08-26 |