| NPI | 1710917117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 225XR0403X Occupational Therapist, Driving and Community Mobility | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |