| NPI | 1801539556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2026-07-15 |