| NPI | 1528301959 |
|---|---|
| Former Name | STEPHANIE ALYCE BEHRENDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 136A00000X Dietetic Technician, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |