| NPI | 1811240617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10005216) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2025-10-21 |