| NPI | 1235615808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN000170) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006582) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |