| NPI | 1104319243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: CA 271A68C556) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2025-08-18 |