| NPI | 1336255801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001890A) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IN 37001673A) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2019-08-15 |