| NPI | 1609972074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT07201) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: TX DT07201) |
| 101YM0800X Counselor Mental Health (Licence: TX 93064) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2024-04-24 |