| NPI | 1588189955 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MN cc01539)  | 
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education | 
| 174H00000X Health Educator | |
| Enumeration Date | 2017-08-07 | 
| Last Update Date | 2017-08-07 |