| NPI | 1346689668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013013901) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2018003738) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2018-03-04 |