| NPI | 1902022866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: IL 164.004003) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: IL 071.001638) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071.001938) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.001638) | |
| 133V00000X Dietitian, Registered (Licence: IL 164.004003) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |