| NPI | 1922365618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN003871) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC011325) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2021-07-20 |