| NPI | 1427254960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904004788) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VA D00774) |
| 133V00000X Dietitian, Registered (Licence: VA 000774) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2016-11-09 |