| NPI | 1386710168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND3625) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT 1699) |
| Enumeration Date | 2006-11-26 |
| Last Update Date | 2014-04-30 |