| NPI | 1003203258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Additional Taxonomies | 175F00000X Naturopath (Licence: DC 0053) |
| 175F00000X Naturopath (Licence: CT 000538) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2020-03-03 |