| NPI | 1952687105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86265228) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 025572) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2023-09-21 |