| NPI | 1285779264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 11459) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC3000745) |
| 133N00000X Nutritionist (Licence: DC 0000060) | |
| 133N00000X Nutritionist (Licence: DC N00012) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-11-03 |