| NPI | 1003763764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NC M2024-12866-01) |
| Enumeration Date | 2026-03-12 |
| Last Update Date | 2026-03-12 |