| NPI | 1235986795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86326797) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI61556318) |
| 171M00000X Case Manager/Care Coordinator (Licence: WA DI61556318) | |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2025-05-22 |