| NPI | 1083072672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 626) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 219) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |