| NPI | 1003246216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60298258) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60298350) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |