| NPI | 1023652567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0016812) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CO 86034734) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2025-02-12 |