| NPI | 1326370248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 71011) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT07709) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2020-07-03 |