| NPI | 1376930222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: MI A-3659397) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502003374) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2023-11-16 |