| NPI | 1821492414 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2017003283)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2022029131)  | 
| 133V00000X Dietitian, Registered (Licence: CA 929432)  | |
| Enumeration Date | 2014-10-10 | 
| Last Update Date | 2023-04-16 |