| NPI | 1013439074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2021-02-15 |