| NPI | 1457507196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 898954) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 076278) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-09-26 |