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 |