NPI | 1508264342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 1433-39) |
Additional Taxonomies | 171400000X Health & Wellness Coach |
Enumeration Date | 2014-12-10 |
Last Update Date | 2022-09-08 |