| NPI | 1427622562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 174H00000X Health Educator | |
| 225800000X Recreation Therapist | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-05-13 |