| NPI | 1649059866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: AZ 0000000156) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2024-03-20 |