NPI | 1083048532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60774623) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: WA NU 60300922) |
Enumeration Date | 2013-09-02 |
Last Update Date | 2018-01-20 |