| NPI | 1902359169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 001302) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA 001302) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |