| NPI | 1427877232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 6293-125) |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2025-10-27 |