NPI | 1669763280 |
---|---|
Former Name | SONYA M WATTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 133N00000X Nutritionist |
174H00000X Health Educator | |
Enumeration Date | 2011-04-30 |
Last Update Date | 2011-04-30 |