| NPI | 1932387735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 811023) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2022-03-24 |