| NPI | 1871932012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ 0199991212) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ 20358) |
| 133NN1002X Nutritionist Nutrition, Education | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2021-12-31 |