| NPI | 1215418868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL LPC05283) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AL 2683) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2024-06-24 |