| NPI | 1568159853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 136A00000X Dietetic Technician, Registered (Licence: TX 86265104) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |