| NPI | 1619117876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L002360) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NC L002360) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: NC L002360) | |
| 225700000X Massage Therapist (Licence: NC 06188) | |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2019-06-20 |