| NPI | 1669092276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: CA 99004B4C48) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2026-06-29 |