| NPI | 1265641260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: A-3631771) |
| Additional Taxonomies | 174H00000X Health Educator |
| 225100000X Physical Therapist (Licence: WY PT777) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-07-21 |