| NPI | 1689920456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN LDN 209) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD 206) |
| 101YP2500X Counselor, Professional (Licence: TN LPC/MHSP 2178) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2016-07-18 |