| NPI | 1659090223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: VA 0735000509) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-09-02 |