| NPI | 1588016810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: CA 6271936743) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-19-37335) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2025-10-08 |