NPI | 1831639624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND 8075) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH21568) |
Enumeration Date | 2017-02-28 |
Last Update Date | 2022-02-03 |