| NPI | 1174772214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL ND 6471) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 2733-1) |
| 133V00000X Dietitian, Registered (Licence: FL ND6471) | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NY 2733-1) | |
| Enumeration Date | 2008-09-13 |
| Last Update Date | 2018-11-04 |