| NPI | 1508575853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: CA 1CBBDDEA97) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2026-08-19 |