| NPI | 1811465800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86147651) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 18-70190) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2021-08-20 |