| NPI | 1376794735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7046) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH7046) |
| 133N00000X Nutritionist (Licence: FL ND1625) | |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: FL ND1625) | |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2012-05-22 |