| NPI | 1922338524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC005262) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN000836) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |