| NPI | 1952932204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZA2600X Specialist/Technologist, Other, Art, Medical |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |