| NPI | 1801544044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 174400000X Specialist | |
| 251S00000X Community/Behavioral Health | |
| 305S00000X Point of Service | |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-23 |