| NPI | 1932961711 |
|---|---|
| Former Name | KENYONNE DERRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |