| NPI | 1205913845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT02795) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 66588) |
| 101YP2500X Counselor, Professional (Licence: TX 66588) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-24 |