| NPI | 1235533357 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: NJ 3063598) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NJ 137873305) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2024-09-27 |