| NPI | 1255856522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 225800000X Recreation Therapist |
| 225C00000X Rehabilitation Counselor | |
| 133NN1002X Nutritionist Nutrition, Education | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2025-04-29 |