| NPI | 1184779357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 005701) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH22774) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2025-03-10 |