NPI | 1023652567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPCC.0016265) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CO 86034734) |
Enumeration Date | 2019-10-28 |
Last Update Date | 2019-10-28 |