| NPI | 1235857020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PR 1863) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 6837) |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-17 |