| NPI | 1174319412 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101Y00000X Counselor | 
| Additional Taxonomies | 171400000X Health & Wellness Coach | 
| 174H00000X Health Educator | |
| Enumeration Date | 2025-04-15 | 
| Last Update Date | 2025-04-15 |