| NPI | 1225247992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 508) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 2182) |
| 101YP2500X Counselor, Professional (Licence: TN LPC2182) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-08-27 |