| NPI | 1710637715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: LA LEHP669) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YP1600X Counselor, Pastoral | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 106S00000X Behavior Technician | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2024-09-24 |