| NPI | 1780094946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72378) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |