| NPI | 1578451423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: UT 14211709-2702) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT 14211709-2702) |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-07-17 |