NPI | 1841714292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: FunctionalMedicine) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 8941) |
246Z00000X Specialist/Technologist, Other (Licence: CLT) | |
Enumeration Date | 2017-07-27 |
Last Update Date | 2025-03-17 |