| NPI | 1063558294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1300021) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD4671) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2013-12-05 |