| NPI | 1568989721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 133NN1002X Nutritionist Nutrition, Education | |
| 251E00000X Home Health | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-07-21 |