| NPI | 1134825474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: TX 56744) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: TX 2243) |
| 175F00000X Naturopath (Licence: CA 57334) | |
| 225600000X Dance Therapist | |
| 225A00000X Music Therapist | |
| 251E00000X Home Health | |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |