| NPI | 1659998623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: NC 009650373I) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2025-01-31 |