| NPI | 1215403829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015040657) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2001025074) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2025-04-02 |