| NPI | 1881161438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: AZ 1190336148) |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 171400000X Health & Wellness Coach (Licence: AZ 1190336148) | |
| 174H00000X Health Educator | |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2021-05-26 |