| NPI | 1639625668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NY CNS17350) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NY L-310460) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 009106) | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2023-02-19 |