| NPI | 1629754759 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 175T00000X Peer Specialist | 
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education | 
| 171400000X Health & Wellness Coach | |
| 1744G0900X Specialist, Graphics Designer | |
| Enumeration Date | 2023-06-23 | 
| Last Update Date | 2024-09-13 |