| NPI | 1881795649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 3326) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L000392) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-12-10 |