| NPI | 1609542828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: KS W46011) |
| Additional Taxonomies | 224Y00000X Clinical Exercise Physiologist (Licence: 1180234454) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |