| NPI | 1609613553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 172V00000X Community Health Worker | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |