| NPI | 1316230634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 21510482) |
| Additional Taxonomies | 224Y00000X Clinical Exercise Physiologist (Licence: NY 1019134) |
| 174H00000X Health Educator (Licence: IL 24366) | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2016-07-25 |