| NPI | 1891501672 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: AL 17136) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 17136) |
| 171400000X Health & Wellness Coach | |
| 101YM0800X Counselor, Mental Health (Licence: AL 17136) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |