| NPI | 1144105529 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 175F00000X Naturopath | |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |