| NPI | 1922880426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OH ESTI.200515) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 174H00000X Health Educator | |
| 247200000X Technician, Other (Licence: OH ESTI.200515) | |
| 261Q00000X Clinic/Center (Licence: OH ESTS.200111) | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |