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 |