| NPI | 1164956942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61033476) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60784799) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2022-09-15 |