| NPI | 1851689764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL nd557) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL mh2162) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |