| NPI | 1649407156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19854) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT05631) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |