NPI | 1497998470 |
---|---|
Former Name | JOY SOLYST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14502) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD N00057) |
133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: MD N00057) | |
133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MD N00057) | |
Enumeration Date | 2009-04-07 |
Last Update Date | 2009-04-07 |