| NPI | 1639336209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 2070) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 9548) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: LA 9548) | |
| 133N00000X Nutritionist (Licence: LA 2070) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2023-05-24 |