| NPI | 1518638204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 174400000X Specialist |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |