NPI | 1215444039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 136A00000X Dietetic Technician, Registered (Licence: 1050243) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR 19-QMHA-I-02398) |
132700000X Dietary Manager (Licence: 226395) | |
172V00000X Community Health Worker | |
174H00000X Health Educator (Licence: 12674) | |
Enumeration Date | 2018-01-02 |
Last Update Date | 2020-04-07 |