| NPI | 1407536915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator (Licence: 33164) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 172V00000X Community Health Worker (Licence: MD 00636-20-A) | |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |