| NPI | 1134776586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID 43036) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-508) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2023-01-21 |