| NPI | 1235826595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: PA 107249) |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: PA 107249) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |