| NPI | 1396324026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 857582) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 062189) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |