| NPI | 1871863076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: OH A-1146730) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50-001971) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2022-01-04 |