| NPI | 1033483326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ RD 864804) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-13207) |
| Enumeration Date | 2012-03-03 |
| Last Update Date | 2012-03-03 |