| NPI | 1629664685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 9854) |
| Additional Taxonomies | 101Y00000X Counselor |
| 133N00000X Nutritionist | |
| 133NN1002X Nutritionist Nutrition, Education | |
| 171W00000X Contractor | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |