| NPI | 1568877355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 1555) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2021-04-16 |