| NPI | 1366033896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 007468) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 13907) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2025-11-27 |