| NPI | 1447391701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17384) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT02301) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2009-02-04 |