| NPI | 1730969718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: OH 133VN1501X) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 101YM0800X) |
| 126800000X Dental Assistant (Licence: OH 12800000X) | |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |