| NPI | 1821544354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74141) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2024-10-18 |