| NPI | 1467069450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 03175) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2050) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |