| NPI | 1962176610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: LA 1722278) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 1722279) |
| 171400000X Health & Wellness Coach (Licence: LA 1722277) | |
| 174200000X (Licence: LA 1722278) | |
| 174H00000X Health Educator (Licence: LA 172277) | |
| 225700000X Massage Therapist (Licence: LA 1722277) | |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |