| NPI | 1265869283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 4013) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PR 1360) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2022-11-11 |