NPI | 1285766311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3750) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: LA 75) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2009-02-24 |