| NPI | 1801469788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 4039) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 3068) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |