| 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 |