| NPI | 1013587344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 33848) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-09-17 |