| NPI | 1417722588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: KS A-3631172) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-01753) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |