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 |