| NPI | 1043040769 |
|---|---|
| Former Name | AUNDREA KOSTELECKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2026-08-18 |