| NPI | 1144863184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 171W00000X Contractor | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 305S00000X Point of Service | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |