| NPI | 1407507353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant, Environmental Modification |
| 405300000X Prevention Professional (Licence: MI 5202003641) | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |