| NPI | 1841612090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NY 961476) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 961476) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |