| NPI | 1811395445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014576) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MI 710073) |
| Enumeration Date | 2014-12-14 |
| Last Update Date | 2023-12-15 |