| NPI | 1235615360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76766) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2024-06-13 |