| NPI | 1083870364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60138935) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60040674) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2010-04-30 |