| NPI | 1891307187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JEAN BARBOZA Fitness & Weight Management Coach 774-379-9761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TE1100X Psychologist, Exercise & Sports |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |