| NPI | 1083092878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 174H00000X Health Educator (Licence: TX 000000) |
| 174H00000X Health Educator (Licence: OR 000000) | |
| 174H00000X Health Educator | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2022-08-19 |