| NPI | 1043701238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 7514) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2020-11-30 |