| NPI | 1982839387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach (Licence: ID A-3683245) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: ID AT-494) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2025-06-12 |