| NPI | 1861958928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: CA 2D7424ECF) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2026-02-02 |