| NPI | 1609682962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: MPSS-BGRNJS) |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: CA 09576C2485) |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2026-07-02 |