| NPI | 1356854707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DC D1580) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC497) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |