NPI | 1295939577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 00290) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 00763) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2010-03-08 |