| NPI | 1073056271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60645969) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60491491) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2018-09-27 |