| NPI | 1811368996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC200001843) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WY 168) |
| 133V00000X Dietitian, Registered (Licence: DC DI200001307) | |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2023-07-24 |