| NPI | 1780569061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 225700000X Massage Therapist (Licence: GA MT015495) | |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-09-25 |