| NPI | 1588548853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA RAQUEL MIRANDA Owner 704-325-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |