| NPI | 1679982607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2012007126) |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: A-3185204) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2024-05-14 |