| NPI | 1083857312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX5837) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD SC1018) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2023-06-07 |