NPI | 1427793843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: NJ A-3252826) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: NJ 40526NC) |
225800000X Recreation Therapist (Licence: NJ 61687) | |
Enumeration Date | 2022-04-29 |
Last Update Date | 2022-04-29 |