| NPI | 1003195900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA APC002229) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD000428) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |