| NPI | 1033958921 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: VA A-3922944) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903003964) |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |