| NPI | 1861606774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65738) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT06366) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-05-20 |