| NPI | 1306606553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: CT 83247) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CT 83247) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-05-08 |