| NPI | 1669626396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 082963) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IA 001841) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2022-12-23 |