| NPI | 1154872281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61017558) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA 60704372) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2020-03-13 |