| NPI | 1245611664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TH0004X Psychologist, Health | |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |