| NPI | 1225497126 |
|---|---|
| Former Name | CRYSTAL MICHELLE CASCIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 86050249) |
| 133V00000X Dietitian, Registered (Licence: NY 009044-1) | |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2022-07-07 |