| NPI | 1386951325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017091) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2021-11-16 |