| NPI | 1902652266 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: 25240) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: 25240) |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2024-04-27 |