| NPI | 1902002678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6833) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: LA 526) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2023-12-01 |