| NPI | 1306347521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-17156) |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered (Licence: AZ 86025063) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |