| NPI | 1245388578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114768) |
| 104100000X Social Worker (Licence: MA 213890) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 53419) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2022-03-24 |