| NPI | 1154962843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: UT A-3934720) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2024-09-16 |