| NPI | 1457670614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L006645) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 3693) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2024-09-19 |