| NPI | 1083022354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 60408150) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61605096) |
| 133V00000X Dietitian, Registered (Licence: 86007053) | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2024-12-20 |