| NPI | 1528223229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw9069) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: FL ND 3505) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |