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 |