| NPI | 1376718585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV R621367) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: R621367) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2017-02-21 |