| NPI | 1770159097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 2316) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS LPC04699) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2024-08-07 |