| NPI | 1801802657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 5289) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MT 432) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-08-26 |