| NPI | 1568790335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5461) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 415) |
| Enumeration Date | 2009-12-06 |
| Last Update Date | 2013-01-17 |