| NPI | 1720757362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 12343064-4901) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-04-02 |