| NPI | 1144065418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L BURDA-WOOD Owner/Provider 267-597-7679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |