| NPI | 1194461707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61192483) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA 61210606) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-05-06 |