| NPI | 1083197560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86209622) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2024-01-10 |