| NPI | 1942699046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT80608) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 68548) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2021-08-03 |