| NPI | 1891665170 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: TX NA) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: TX NA) |
| 174H00000X Health Educator (Licence: MS NA) | |
| Enumeration Date | 2025-11-11 |
| Last Update Date | 2025-11-11 |