| NPI | 1194820449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SD 2162) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-04-18 |