| NPI | 1447622717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 0000000042) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 3171) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |