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 |