| NPI | 1093996910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5596) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: FL 20020544) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |