| NPI | 1184204141 |
|---|---|
| Former Name | MALLORY TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |