| NPI | 1053915850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: A-3084110) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: 66891) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2024-08-07 |