| NPI | 1841737400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 3863) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PR 1343) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |