| NPI | 1730379124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: 7038) |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: NJ 01222) |
| 174H00000X Health Educator (Licence: NY 7038) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2023-03-04 |