| NPI | 1043613516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07643) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2021-05-05 |