| NPI | 1447347620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM 76121) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NM 093) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |