| NPI | 1750027637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WV 86033141) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 830) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2023-09-26 |