| NPI | 1003569161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 174H00000X Health Educator | |
| 224Y00000X Clinical Exercise Physiologist | |
| 2251S0007X Physical Therapist, Sports | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2022-01-30 |