| NPI | 1174791479 |
|---|---|
| Former Name | ABBY LYNN BANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: WA NU60058318) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60199461) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2024-03-19 |