| NPI | 1497214159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2026-08-11 |