| NPI | 1366756199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0015918) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KS 961321) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2021-11-17 |