| NPI | 1053007641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: MI A-3694981) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502002045) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |