| NPI | 1730750530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: FL 7496783) |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: FL 5077) |
| 156FX1800X Technician/Technologist, Optician (Licence: FL 5077) | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-07-02 |