| NPI | 1487023651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018005482) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MO 2012035160) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2020-04-07 |