| NPI | 1912684796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 91077) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: TX 86209777) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-05-23 |