| NPI | 1639312705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 000388) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 047624) |
| Enumeration Date | 2009-04-19 |
| Last Update Date | 2009-04-19 |