| NPI | 1487329009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 174H00000X Health Educator |
| 106S00000X Behavior Technician (Licence: GA RBT-21-180246) | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2026-01-15 |