| NPI | 1639387665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004617) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN000351) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2019-01-09 |