| NPI | 1932435088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP6772) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD dx2541) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2015-12-10 |