| NPI | 1982465449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: VA PGP-515324) |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: SC 307799) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |