| NPI | 1225391394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: FL ND4092) |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH15202) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2016-10-05 |