| NPI | 1821825316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT LMT-LIC-874) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |