| NPI | 1720450067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: ID ID-A3435452) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: ID PSG-055) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2022-01-24 |