NPI | 1033426440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002448A) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 892006) |
Enumeration Date | 2010-09-07 |
Last Update Date | 2023-06-14 |