NPI | 1780983338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2009035067) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.014685) |
133NN1002X Nutritionist, Nutrition, Education | |
174H00000X Health Educator | |
Enumeration Date | 2011-03-22 |
Last Update Date | 2019-11-27 |